Provider Demographics
NPI:1962114157
Name:AARON SANDERS, DDS, PLLC
Entity type:Organization
Organization Name:AARON SANDERS, DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-266-2695
Mailing Address - Street 1:6140 MAE ANNE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-4707
Mailing Address - Country:US
Mailing Address - Phone:775-451-0616
Mailing Address - Fax:775-331-2322
Practice Address - Street 1:6140 MAE ANNE AVE STE 2
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-4707
Practice Address - Country:US
Practice Address - Phone:775-331-1616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty